Active NPI
Antoinette Prevete, RPH
- Pharmacist
- Glen Cove, NY
National Provider Identifier
1104004852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0430661
- Practice address
- 206 Glen Cove Ave
Glen Cove, NY 11542-4141 - Phone
- (516) 676-7715
- Fax
- (516) 676-0563
- NPI assigned
- Feb 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0430661 | NY | Primary |
Addresses
Primary practice location
206 Glen Cove Ave
Glen Cove, NY 11542-4141
Mailing address
206 Glen Cove Ave
Glen Cove, NY 11542-4141
Phone (516) 676-7715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0430661 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1104004852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 GLEN COVE AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424141",
"telephone_number": "516-676-7715",
"fax_number": "516-676-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 GLEN COVE AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424141",
"telephone_number": "516-676-7715",
"fax_number": "516-676-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVETE",
"first_name": "ANTOINETTE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0430661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.